Our work in India

India

For over 20 years, we have worked alongside the Indian government and various on-ground partners to support the vision of a world where every person has the opportunity to live a healthy and productive life.
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Featured stories in India

Sradhanjali Pradhan at a paddy field in Odisha, India, on December 12, 2025.

How Indian farmers are improving yields and supporting each other with the help of a free farming hotline

In this bio, we look at a day in the life of Sradhanjali Pradhan to get her story of how she’s worked with SHGs and other organizations across India to help smallholder farmers improve their agricultural outcomes.

Our priorities

Health
A healthy future for every mother and child means reducing maternal and newborn deaths, closing immunization and nutrition gaps, and ending deadly infectious diseases like tuberculosis, kala azar, and lymphatic filariasis. It’s a future within reach, and we work alongside key stakeholders in India to make that future possible.
Agricultural development
Agricultural development
Behind every meal is a farmer striving for a better season. We work with 30 million smallholder farmers across India, especially women, to improve crops and livestock through climate-smart innovations, AI-driven advisory, and solutions that strengthen incomes and resilience.
Gender equality
Economic empowerment transforms everything a woman can do—for herself, for her household, and for her community. We’re working across India to help 25 million rural women build stable and sustainable incomes, productive assets, and have real access to capital, markets, and skills.
Inclusive financial systems
India's digital financial systems are reshaping how people pay, save, and borrow. We work to ensure this transformation leaves no one behind by supporting the expansion of access to safe & affordable digital financial services, particularly for those on the margins of the formal financial system.
Sanitation
India has already made major progress bringing toilets into homes. Our work now focuses on safely treating sanitation waste from those toilets to prevent disease and enable water reuse. We support public and private partners in building standards, technologies, and systems water-efficient circular sanitation—and expanding access to these solutions.

Focus States

Learn more about good people doing great things that can lead to even greater things.
Bihar
Bihar has been one of the Foundation’s longest-standing state partners, with a formal government partnership dating back to 2016. As one of India’s largest states, progress in Bihar is crucial for the country’s progress as a whole. Our work in the state, across maternal and child health, infectious diseases, agriculture, and women’s economic empowerment, are therefore central to how we think about impact at a national scale
Uttar Pradesh
Since 2013, we have partnered with Uttar Pradesh—India’s most populous state—to advance work across Foundation priority areas. Given its scale, progress in UP can ripple out nationwide, influencing outcomes far beyond the state. This makes all work in Uttar Pradesh one of the most significant opportunities to accelerate impact across India.
Odisha, India
Odisha
Odisha’s rain-fed smallholder farmers face climate shocks and resulting market swings. Providing support to agricultural innovation anchors our decade-long partnership there. Our work has since expanded to women’s economic empowerment, infectious diseases, and foundational literacy, making Odisha one of our deepest partnerships beyond Bihar and Uttar Pradesh.
Assam, India
Assam
Assam’s tea gardens, hilly terrain, river belts, and international borders all make the access to equitable healthcare exceptionally challenging. Since 2025, we have partnered with the Government of Assam and its network of medical colleges to strengthen immunization, maternal and newborn health, tuberculosis care, and primary health care in the state.
Meghalaya, India
Meghalaya
The various communities in Meghalaya, especially tribal areas, are spread across hilly, forested terrain, making quality healthcare hard to reach the last mile. We have been partnering with the Government of Meghalaya since 2024, to accelerate progress on maternal, newborn and child health, reduce infectious diseases, and deploy digital tools to strengthen health systems.
Andhra Pradesh, India
Andhra Pradesh
Andhra Pradesh is one of the states where India’s agricultural digital public infrastructure—like AI-driven farm advisory—is being scaled. As part of our formal partnership with the Government of Andhra Pradesh since 2024, we also work to support systemic pushes for women’s economic empowerment.

FAQ

Frequently Asked Questions below

We operate in India as a branch office of a foreign organization, with the Permission of the Reserve Bank of India (RBI) under the Foreign Exchange Management Act (FEMA) of 2017. We comply with auditing and disclosure procedures mandated by the Government of India and the U.S. government, and our tax returns and consolidated financial statements are available on our website here.

Our foundation is a charitable trust under the laws of the State of Washington, USA, and a tax-exempt private foundation as described in sections 501(c)(3) and 509(a) of the U.S. Internal Revenue Code.

Our foundation is a charitable trust under the laws of the State of Washington, USA, and a tax-exempt private foundation as described in sections 501(c)(3) and 509(a) of the U.S. Internal Revenue Code.

We disburse all grants directly from our main office in Seattle, Washington. As a U.S.-based organization, we are not subject to India’s Foreign Contribution Regulation Act (FCRA) of 2010, which is enforced by the Ministry of Home Affairs; however, we confirm that our Indian grantees' FCRA registration is still active and they have the designated FCRA bank account before we release any payments to them.

We list all of our committed grants on our website here.

Our branch office in India operates with the permission of the Reserve Bank of India (RBI) under the Foreign Exchange Management Act (FEMA) of 2017. This branch office does not disburse grants on behalf of the foundation, nor does it receive grants from the foundation’s Seattle office. The approval it has under FEMA allows it to bring foreign exchange into India to meet its direct operating expenses.

Our foundation complies with all auditing and disclosure procedures mandated by the Government of India and the U.S. government, and our tax returns and consolidated financial statements are available on our website here.

Indian NGOs that receive foreign funds from our foundation are regulated by the Ministry of Home Affairs under the Foreign Contribution Regulation Act (FCRA) of 2010. Before we disburse funds to Indian grantees from our Seattle office, we confirm that they have the necessary FCRA approvals. We confirm that our Indian grantees' FCRA registration is still active and they have the designated FCRA bank account before we release any payments to them.

Our branch office in India does not receive any foreign contributions that are subject to FCRA.

Because our foundation is a U.S.-based organization and not an Indian grant recipient, we are not subject to the FCRA.

All of our work in India is aligned with the government’s objectives for improving the lives of its people, and we work closely with India’s central and state governments. Our other partners in this work include community groups, nonprofit organizations, academic institutions, the private sector, and development organizations. Our core work spans five sectors:

  • Health
  • Sanitation
  • Agricultural development
  • Gender equality
  • Inclusive Financial Systems

With a particular focus on Bihar and Uttar Pradesh, we fund the development of sustainable, high-impact solutions that improve the quality and coverage of key services. We also work in the states of Tamil Nadu, Andhra Pradesh, Odisha, and Maharashtra to support programs in sanitation, agricultural development, and digital financial inclusion.

Our work in India began in 2003 with the launch of an HIV prevention initiative called Avahan. We have since expanded our efforts to include other key health and development issues, including maternal and child health, nutrition, vaccines and immunization, family planning, inclusive financial systems, sanitation, and communicable diseases.

All of our work in India supports the priorities of the central government and the governments of the states we work in. We offer them our expertise, global experience, and network of partnerships to support the development and dissemination of relevant, high-impact solutions. We also work closely with a range of private and public partner organizations across India to strengthen health systems.

Leadership in India

Our leaders are guided by the foundation’s mission to create a world in which every person has the opportunity to live a healthy,
productive life.

More about the region

Foundation offices

Our office in Delhi supports our work with India’s central and state governments, nonprofit organizations, community groups, academic institutions, the private sector, and development organizations to achieve our shared goals.

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